Evaluation of calcium ion, hydroxyl ion release and pH levels in various calcium hydroxide based intracanal medicaments: An in vitro study

Abstract

Aims:Evaluation of calcium ion and hydroxyl ion release and pH levels in various calcium hydroxide based intracanal medicaments.Objective:The purpose of this study was to evaluate calcium and hydroxyl ion release and pH levels of calcium hydroxide based products, namely, RC Cal, Metapex, calcium hydroxide with distilled water, along with the new gutta-percha points with calcium hydroxide.Materials and Methods:The materials were inserted in polyethylene tubes and immersed in deionized water. The pH variation, Ca++ and OH- release were monitored periodically for 1 week. Statistical Analysis Used: Statistical analysis was carried out using one-way analysis of variance and Tukey's post hoc tests with PASW Statistics version 18 software to compare the statistical difference.Results:After 1 week, calcium hydroxide with distilled water and RC Cal raised the pH to 12.7 and 11.8, respectively, while a small change was observed for Metapex, calcium hydroxide gutta-percha points. The calcium released after 1 week was 15.36 mg/dL from RC Cal, followed by 13.04, 1.296, 3.064 mg/dL from calcium hydroxide with sterile water, Metapex and calcium hydroxide gutta-percha points, respectively.Conclusions:Calcium hydroxide with sterile water and RC Cal pastes liberate significantly more calcium and hydroxyl ions and raise the pH higher than Metapex and calcium hydroxidegutta-percha points.

Antimicrobial effects of root canal medicaments against Enterococcus faecalis and Streptococcus mutans

“…The likely explanation for this result could be the inadequate amount of Ca(OH) 2 released, which was insufficient to overcome the strong buffering capacity of dentine (Wang & Hume , Fulzele et al . ).…”

Antimicrobial Effect of Different Root Canal Medicaments on Enterococcus Faecalis: in vitro Comparative Study

“…Regarding to diapex, although iodoform is incorporated to improve the antibacterial properties of the material [9], it was observed that oil paste containing calcium hydroxide was largely lacking in both ion release and antimicrobial properties [44]. Moreover, Evans et al [45] demonstrated that the proton pump activity of E. faecalis offers resistance to high pH of calcium hydroxide.…”

Spectrophotometric evaluation of calcium ion release from different calcium hydroxide preparations: An in-vitro study.

“…Fulzele et al found that liberation of Ca and OH ions was faster and more significant when CaOH was mixed with distilled water. 6 Ferreira et al in their study found that camphorated paramonochlorophenol and saline calcium hydroxide paste exhibited the highest calcium release and pH levels. 7 On the contrary, Bayram et al found Ca release to be lowest with distilled water.…”